VICTORIAN DENTAL – NPI #1033774757
Clinic/Center

VICTORIAN DENTAL is an AHC clinic located in DELAND, FL. NPPES has assigned the NPI number 1033774757 to VICTORIAN DENTAL on May 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Dec 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORIAN DENTAL below.

NPI Profile for
VICTORIAN DENTAL

NPI Number
1033774757
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTORIAN DENTAL
Primary location
131 VICTORIA COMMONS BLVD
DELAND, FL 32724
Phone: (386) 624-7658 Fax: (386) 873-4625
Mailing address
1431 ORANGE CAMP RD STE 108
DELAND, FL 32724-7769
Phone: (386) 624-7658 Fax: (386) 873-4625
Organization Subpart
No
Authorized Official
CHRISTOPHER RAE
PRESIDENT
Phone: (386) 624-7658
Updated
Certification Date
Dec 10, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.